在有症状的怀孕中,影响尿管导管化需要的因素是:水性化症
Osman Gercek1, Kutay Topal2, Veli Mert Yazar3
1Department of Urology, Afyonkarahisar Health Sciences University, Afyonkarahisar, Turkey. osmangercek1989@hotmail.com.
International urology and nephrology
|April 15, 2024
概括
水缩症程度和骨AP直径是决定症状妊娠水缩症的保守治疗和手术治疗之间的关键因素. 20.5毫米的AP直径表明DJS插入可能是必要的.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 产科和妇科 产科和妇科
- 医疗成像医学成像
背景情况:
- 在怀孕期间出现症状的水缩症会给治疗带来挑战.
- 在保守的治疗和干预之间做出决定,例如插入双J支架 (DJS),需要仔细考虑临床参数.
- 确定DJS插入的可靠预测因素对于最佳的患者护理至关重要.
研究的目的:
- 为了确定最合适的治疗方法,症状妊娠水.
- 确定关键的临床参数,指导双J支架 (DJS) 插入的决定.
- 为了确定水缩 (HUN) 度和骨前后 (AP) 直径的切断值,以预测DJS的需要.
主要方法:
- 回顾性横截面研究,包括137名患有症状妊娠水.
- 患者被分为保守的随访和DJS插入组.
- 评估人口统计数据,临床参数,通过超声波和盆AP直径的HUN度;研究了影响DJS需求的因素.
主要成果:
- 泌尿系统结石在DJS组中更为普遍 (p=0.014).
- 在DJS组中,HUN度和骨AP直径都显著高于DJS组 (两者p<0.001).
- HUN度和骨AP直径是DJS插入的显著预测指标 (p=0.005,p=0.015),DJS的截止AP直径为20.5mm.
结论:
- HUN度和骨AP直径是选择怀孕症状性水缩的保守和手术治疗之间的关键决定因素.
- 确定HUN度和盆AP直径的切断值可以帮助临床医生在治疗决策中.
- 这些发现为管理妊娠性水缩症的复杂病例提供了宝贵的指导.
更多相关视频
06:39Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
Published on: November 22, 2019
7.7K
06:05Assessing Urinary Tract Junction Obstruction Defects by Methylene Blue Dye Injection
Published on: October 12, 2017
15.7K
相关概念视频
01:20Disorders of the Urinary System
298
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
298
01:24Physiology of Urine Formation
3.8K
Urine formation is an essential function of the human body. It plays a critical role in maintaining homeostasis by regulating the volume and composition of body fluids. The kidneys, the primary organs involved in this process, filter blood to remove waste products and excess substances, ultimately producing urine.
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
Glomerular Filtration
The first stage in urine formation is glomerular filtration. Each kidney contains approximately 1 million nephrons, the functional units of filtration, with a...
3.8K
01:24Renal Tubule and Collecting Duct
959
The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
959
01:30Radiological Investigation I: X-ray and CT
236
Radiological investigations, including X-rays and computed tomography (CT) scans, are critical for diagnosing and evaluating various medical conditions. These imaging techniques provide valuable insights into the body's internal structures, aiding in the detection of abnormalities, assessment of disease progression, and development of treatment strategies. This article delves into two primary radiological investigations, chest X-rays and CT scans, outlining their purpose, procedures, and...
236
01:27Parentral Nutrition: Centeral and Peripheral Parental Nutrition
150
Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
PN can be administered through two primary routes:
1. Central Parenteral Nutrition (CPN):
CPN involves delivering a high concentration of nutrients through a large vein. This is typically achieved using a Peripherally Inserted Central Catheter (PICC) or,...
150
01:22Ureters
469
The ureters are retroperitoneal tubes located on either side of the vertebral column. They are responsible for transporting urine from each kidney to the urinary bladder. These tubes have thick walls and are approximately 25-30 cm long. Their diameter is around 10 mm at the renal pelvis, gradually narrowing to 1 mm as the ureter obliquely enters the posterior bladder wall through the ureteric orifices. The shape of these orifices is slit-like, which helps to prevent urine backflow toward the...
469